Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $31.74 / $60.00	Professional		$31.12	$31.74	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.00 / $46.69	Professional		$24.00	$30.00	$46.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $21.26 / $28.23	Professional		$16.67	$21.26	$28.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $33.54 / $52.59	Facility		$20.84	$33.54	$52.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $27.53 / $56.21	Professional		$20.86	$27.53	$56.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $42.45 / $72.12	Facility		$42.45	$42.45	$72.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $42.45 / $62.77	Professional		$40.03	$42.45	$62.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $87.79 / $93.11	Professional		$82.98	$87.79	$93.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $25.24 / $48.19	Professional		$19.82	$25.24	$48.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $20.84 / $20.84	Professional		$16.46	$20.84	$20.84